[Federal Register Volume 68, Number 121 (Tuesday, June 24, 2003)]
[Notices]
[Pages 37502-37503]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 03-15827]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare and Medicaid Services

[Document Identifier: CMS-10087]


Agency Information Collection Activities: Submission for OMB 
Review; Comment Request

    Agency: Centers for Medicare and Medicaid Services, HHS.
    In compliance with the requirement of section 3506(c)(2)(A) of the 
Paperwork Reduction Act of 1995, the Centers for Medicare and Medicaid 
Services (CMS) (formerly known as the Health Care Financing 
Administration (HCFA)), Department of Health and Human Services, is 
publishing the following summary of proposed collections for public 
comment. Interested persons are invited to send comments regarding this 
burden estimate or any other aspect of this collection of information, 
including any of the following subjects: (1) The necessity and utility 
of the proposed information collection for the proper performance of 
the agency's functions; (2) the accuracy of the estimated burden; (3) 
ways to enhance the quality, utility, and clarity of the information to 
be collected; and (4) the use of automated collection techniques or 
other forms of information technology to minimize the information 
collection burden.
    Type of Information Collection Request: New collection.
    Title of Information Collection: Evaluation of the Illinois and 
Wisconsin State Pharmacy Assistance Waivers.
    Form No.: CMS-10087 (OMB 0938-NEW).
    Use: CMS has implemented the Pharmacy Plus Initiative to grant

[[Page 37503]]

waivers to states to provide pharmacy benefits to low-income elders 
with incomes too high to qualify for Medicaid. This study will evaluate 
the Pharmacy Plus programs initiated in the states of Illinois and 
Wisconsin using a variety of methods including a descriptive program 
evaluation, survey of participants, analyses of drug utilization and 
costs as well as the cost impact to the Medicare and Medicaid programs.
    Frequency: Other: one-time only.
    Affected Public: Individuals or Households.
    Number of Respondents: 2,200.
    Total Annual Responses: 2,200.
    Total Annual Hours: 550.
    To obtain copies of the supporting statement and any related forms 
for the proposed paperwork collections referenced above, access CMS Web 
site address at http://cms.hhs.gov/regulations/pra/default.asp, or e-
mail your request, including your address, phone number, OMB number, 
and CMS document identifier, to [email protected], or call the 
Reports Clearance Office on (410) 786-1326. Written comments and 
recommendations for the proposed information collections must be mailed 
within 30 days of this notice directly to the OMB desk officer: OMB 
Human Resources and Housing Branch, Attention: Brenda Aguilar, New 
Executive Office Building, Room 10235, Washington, DC 20503, Fax 
Number: (202) 395-6974.

    Dated: June 12, 2003.
Dawn Willinghan,
CMS Reports Clearance Officer, Division of Regulations Development and 
Issuances, Office of Strategic Operations and Regulatory Affairs.
[FR Doc. 03-15827 Filed 6-23-03; 8:45 am]
BILLING CODE 4120-03-P